TRICIA AGUSTIN MD
NPI 1063691673
Family Medicine in Henderson, NV

Q: What is Tricia Agustin's NPI number?

The NPI number for Tricia Agustin is 1063691673. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Q: What is Tricia Agustin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tricia Agustin was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2007PECOS EnrolledAccepts Medicare Assignment

100 N GREEN VALLEY PKWY STE 239, HENDERSON, NV 89074(702) 844-4841(702) 844-4844 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2019, Aug 22, 2018, Apr 18, 2018 (3 updates tracked since 2018).

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About Tricia Agustin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRICIA AGUSTIN MD (NPI 1063691673) is an individual family medicine provider in Henderson, Nevada, licensed in Nevada (13714) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1063691673

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTRICIA AGUSTINCredential: MD

Location Address100 N GREEN VALLEY PKWY STE 239Henderson, NV 89074-7704

Mailing Address2370 Corporate Cir Ste 300Henderson, NV 89074-7760 · (702) 910-3950 · Fax (702) 778-2264

Phone(702) 844-4841

Fax(702) 844-4844

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 31, 2007

Last NPPES UpdateOctober 26, 20213 updates tracked since enumeration

NPPES CertifiedOctober 26, 2021

✔ NPI 1063691673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 13714

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

100 N GREEN VALLEY PKWY STE 239, Henderson, NV 89074

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Secondary Practice Locations 4

Location 12525 12th St SE Ste 260Salem, OR 97302-2282 · Phone (971) 701-9058

Location 23369 NE Stephens St Ste 100Roseburg, OR 97470-1200 · Phone (541) 677-8900 · Fax (547) 677-8903

Location 3272 NW Medical Loop Ste BRoseburg, OR 97471-5545 · Phone (547) 591-8007

Location 45255 E Williams Cir Ste 3000Tucson, AZ 85711-7407 · Phone (520) 392-8400

Other Identifiers 1

Medicaid1063691673NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tricia Agustin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688856487

PECOS Enrollment IDI20110316000219

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

556 services299 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

270 services270 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

230 services171 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

59 services59 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

59 services59 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

54 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers28 claims75 services$5.97 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers18 claims24 services$0.95 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers33 claims33 services$4.73 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$19.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY LEIFRIED APRN

Nurse Practitioner (Family)